Doctor Name: | MRS. MARY FRANCES TYSON-MARCHINO |
NPI Number: | 1376787853 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MFT, CSAC, RPT |
License Number: | |
Business Practice Address: | 3483 Weliweli Rd Koloa, HI - 967568546 |
Business Phone Number: | 8086522862 |
Business Fax Number: | 8083325785 |
Mailing Address: | Po Box 339, KALAHEO |
State: | HI |
Postal Code: | 967410339 |
Phone Number: | 8086522862 |
Fax Number: | 8083325785 |
NPI Enumeration Date: | 04/28/2009 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |